NURS 511 LATEST 2023 WITH CORRECT ANSWERS GRADED A
Chapter 3 week 1 Health promotion
1. Which of the following is a primary prevention measure for a 76-year-old man newly diagnosed with
a testosterone deficiency? Calcium supplementation
2. Which of the following is an example of secondary prevention in a 50-year-old woman?
Yearly mammogram
3. Which of the following is an example of tertiary prevention in a patient with chronic renal
failure? Hemodialysis 4 days a week
4. Immunizations are an example of which type of prevention? PRIMARY
5. Prevalence is the number of new cases of a particular disease. FALSE
6. The number of cases of a particular disease for the past 5 years is an example of the incidence rate. FALSE
7. There are 1,185,000 cases of HIV/AIDS in the US" is an example of morbidity rate. TRUE
8. Endemic is the term used when the presence of an event is constant. TRUE
9. The "bird" flu of 2005 to 2006 is considered a sporadic outbreak. FALSE
10. A pandemic affects many communities in a short period of time.
TRUE Ch 4 week 1- The art of diagnosis and treatment
Ch 5 week 1- Evidence- Based Practice
1. Which of the following are parts of evidence-based practice? ALL OF THE ABOVE (
CLINICIAN, PATIENT, EVIDENCE)
2. Which is the most important question to ask in nursing research? HOW WILL THE FINDINGS BE USED?
3. Which of the following is a crucial element of developing a guideline? REVIEWING THE
LITERATURE WITH RATINGS OF AVAILABLE EVIDENCE
4. Which of the following would be considered the research design for Level I evidence?
SYSTEMATIC REVIEW OF RANDOMIZED CLINICAL TRIAL STUDIES
5. Which of the following would be considered the research design for Level II evidence? SINGLE
WELL DESIGNED RANDOMIZED CLINICAL TRIAL
6. Which of the following would be considered the research design for Level III evidence?
WELL DESIGNED CONTROLLED TRIALS WITHOUT RANDOMIZATION
7. Which of the following would be considered the research design for Level IV evidence?
WELL DESIGNED CASE CONTROL OR COHORT STUDIES
8. Which of the following would be considered the research design for Level V evidence?
SYSTEMIC REVIEWS OF DESCRIPTIVE OR QUALITATIVE STUDIES
9. Which of the following would be considered the research design for Level VI evidence?
SINGLE DESCRIPTIVE OR QUALITATIVE STUDY
10. Which of the following would be considered the research design for Level VII evidence? OPINION
OF AUTHORITES AND EXPERT COMMITTEES
CH22 week 1 – The business of Advanced Practice
CH 8 week 2- eyes, ears, nose and throat problems
1. The clinician is assessing a patient complaining of hearing loss. The clinician places a tuning fork over
the patient's mastoid process, and when the sound fades away, the fork is placed without restriking it over
the external auditory meatus. The patient is asked to let the clinician know when the sound fades away.
This is an example of which type of test? RINNE TEST
2. A patient presents to the clinician c/o ear pain. On exam, the clinician finds that the patient has tenderness
on traction of the pinna as well as when applying pressure over the tragus. These findings are classic
signs of which condition? OTITIS EXTERNA
3. Otitis media is considered chronic when: INFLAMMATION PERSIST MORE THAN 3 MONTHS
WITH INTERMITTENT OR PERSISTENT OTIC DISCHARGE
4. The most significant precipitating event leading to otitis media with effusion is: VIRAL URI
5. Patients with acute otitis media should be referred to a specialist in which of the following situations?
ALL OF THE ABOVE ( CONCURRENT VERTIGO, FAILED CLOSURE OF RUPTURED TM AND
SYMPTOMS WORSEN AFTER 3-4 DAYS OF TREATMENT)
6. Fluctuations and reductions in estrogen may be a contributing factor in which type of
rhinitis? VASOMOTOR RHINITIS
, NURS 511 LATEST 2023 WITH CORRECT ANSWERS GRADED A
7. Sinusitis is considered chronic when there are episodes of prolonged inflammation with repeated
or inadequately treated acute infection lasting greater than: 12 WEEKS
8. Which of the following antibiotics provides the best coverage in acute or chronic sinusitis when
gram- negative organisms are suspected? LEVOFLOXACIN
9. In which of the following situations would referral to a specialist be needed for sinusitis? ALL OF
THE ABOVE ( RECURRENT SINUSITIS, ALLERGIC SINUSITIS AND SINUSITIS THAT IS
REFRACTORY TO ANTIBIOTIC THERAPY)
10. Which type of stomatitis results in necrotic ulceration of the oral mucous membranes?
VINCENT’S STOMATITIS
11. The presence of hairy leukoplakia in a person with no other symptoms of immune suppression is
strongly suggestive of which type of infection? HIV
12. Heart valve damage resulting from acute rheumatic fever is a long-term sequelae resulting from
infection with which of the following pathogens? GROUP A STREP
13. A patient presents with the following signs and symptoms: gradual onset of low-grade fever, marked
fatigue, severe sore throat, and posterior cervical lymphadenopathy. Based on the signs and
symptoms alone, which condition is most likely the cause? MONONUCLEOSIS
14. A patient presents to the clinician with a sore throat, fever of 100.7, and tender anterior cervical
lymphadenopathy. The clinician suspects strep throat and performs a rapid strep test that is negative.
What would the next step be? A THROAT CULUTRE SHOULD BE PREFORMED TO CONFIRM THE
RESULTS OF THE RAPID STREP TEST
15. Which of the following meds used in the treatment of glaucoma works by constricting the pupils to
open the angle and allow aqueous fluid to escape? PILOCARPINE
16. You have a patient who is positive for strep on rapid antigen testing. You order amoxicillin after
checking for drug allergies (pt has none) but he returns 3 days later, reporting that his temp has gone up,
not down (101.5 in office). You also note significant adenopathy, most notably in the posterior and
anterior cervical chains, some hepatomegaly, and a diffuse rash. You decide: THAT HE POSSIBLY
HAS MONONUCLEOSIS CONCURRENT WITH HIS STREP INFECTION
17. Severe pain associated with acute otitis media signifies perforation of the TM. FALSE
18. Jill presents with symptoms of hay fever, and you assess the nasal mucosa of her turbinate’s to be
pale. What diagnosis do you suspect? ALLERGIC RHINITIS
19. When a practitioner places a vibrating tuning fork in the midline of a client's skull and asks if the
tone sounds the same in both ears or is better in one, the examiner is performing: WEBER TEST
20. Acute otitis media is diagnosed when there is: FLUID IN THE MIDDLE EAR ACCOMPAINED
BY OTALGIA AND FEVER
21. What therapy has proved beneficial for long-term symptom relief of tinnitus?
COGNITIVE BEHAVIORAL THEARPY
22. Jessica, an 8-year-old third-grader, is brought to the office by her grandmother, who is the child's
babysitter. She has complained of fever and sore throat for the past 2 days. Five other children in her class
have been sick with sore throats. She denies difficulty swallowing and has been drinking fluids, but she has
no appetite. A review of system reveals that she has clear nasal drainage, hoarseness, and a nonproductive
cough. She denies vomiting but has had mild diarrhea. On examination, she has a temperature of 101.5°F;
3+ erythematous tonsils; and palpable, tender cervical lymph nodes. Based on these findings, what is the
most likely diagnosis? VIRAL PHARYNGITIS
23. Martin, age 24, presents with an erythematous ear canal, pain, and a recent history of swimming. What
do you suspect? EXTERNAL OTITIS
24. Sam, age 4, is brought into the clinic by his father. His tympanic membrane is perforated from otitis
media. His father asks about repair of the eardrum. How do you respond? THE EARDRUM IN MOST
CASES HEALS WITHIN SEVERAL WEEKS
25. A client complains of frequent bouts of severe, intense, disabling left-sided facial pain accompanied by
excessive left eye lacrimation (tearing) and worsening anxiety. The pain wakes him at night, and he has
even contemplated harming himself during these episodes due to the intensity and unrelenting nature of
the pain. What kind of headache is he describing? CLUSTER HEADACHE
26. Jill states that her 5-year-old daughter continually grinds her teeth at night. You document this
as: BRUXISM
27. Mark, age 18, has a persistent sore throat, fever, and malaise not relieved with penicillin therapy.
What would you order next? MONOSPOT TEST
Chapter 3 week 1 Health promotion
1. Which of the following is a primary prevention measure for a 76-year-old man newly diagnosed with
a testosterone deficiency? Calcium supplementation
2. Which of the following is an example of secondary prevention in a 50-year-old woman?
Yearly mammogram
3. Which of the following is an example of tertiary prevention in a patient with chronic renal
failure? Hemodialysis 4 days a week
4. Immunizations are an example of which type of prevention? PRIMARY
5. Prevalence is the number of new cases of a particular disease. FALSE
6. The number of cases of a particular disease for the past 5 years is an example of the incidence rate. FALSE
7. There are 1,185,000 cases of HIV/AIDS in the US" is an example of morbidity rate. TRUE
8. Endemic is the term used when the presence of an event is constant. TRUE
9. The "bird" flu of 2005 to 2006 is considered a sporadic outbreak. FALSE
10. A pandemic affects many communities in a short period of time.
TRUE Ch 4 week 1- The art of diagnosis and treatment
Ch 5 week 1- Evidence- Based Practice
1. Which of the following are parts of evidence-based practice? ALL OF THE ABOVE (
CLINICIAN, PATIENT, EVIDENCE)
2. Which is the most important question to ask in nursing research? HOW WILL THE FINDINGS BE USED?
3. Which of the following is a crucial element of developing a guideline? REVIEWING THE
LITERATURE WITH RATINGS OF AVAILABLE EVIDENCE
4. Which of the following would be considered the research design for Level I evidence?
SYSTEMATIC REVIEW OF RANDOMIZED CLINICAL TRIAL STUDIES
5. Which of the following would be considered the research design for Level II evidence? SINGLE
WELL DESIGNED RANDOMIZED CLINICAL TRIAL
6. Which of the following would be considered the research design for Level III evidence?
WELL DESIGNED CONTROLLED TRIALS WITHOUT RANDOMIZATION
7. Which of the following would be considered the research design for Level IV evidence?
WELL DESIGNED CASE CONTROL OR COHORT STUDIES
8. Which of the following would be considered the research design for Level V evidence?
SYSTEMIC REVIEWS OF DESCRIPTIVE OR QUALITATIVE STUDIES
9. Which of the following would be considered the research design for Level VI evidence?
SINGLE DESCRIPTIVE OR QUALITATIVE STUDY
10. Which of the following would be considered the research design for Level VII evidence? OPINION
OF AUTHORITES AND EXPERT COMMITTEES
CH22 week 1 – The business of Advanced Practice
CH 8 week 2- eyes, ears, nose and throat problems
1. The clinician is assessing a patient complaining of hearing loss. The clinician places a tuning fork over
the patient's mastoid process, and when the sound fades away, the fork is placed without restriking it over
the external auditory meatus. The patient is asked to let the clinician know when the sound fades away.
This is an example of which type of test? RINNE TEST
2. A patient presents to the clinician c/o ear pain. On exam, the clinician finds that the patient has tenderness
on traction of the pinna as well as when applying pressure over the tragus. These findings are classic
signs of which condition? OTITIS EXTERNA
3. Otitis media is considered chronic when: INFLAMMATION PERSIST MORE THAN 3 MONTHS
WITH INTERMITTENT OR PERSISTENT OTIC DISCHARGE
4. The most significant precipitating event leading to otitis media with effusion is: VIRAL URI
5. Patients with acute otitis media should be referred to a specialist in which of the following situations?
ALL OF THE ABOVE ( CONCURRENT VERTIGO, FAILED CLOSURE OF RUPTURED TM AND
SYMPTOMS WORSEN AFTER 3-4 DAYS OF TREATMENT)
6. Fluctuations and reductions in estrogen may be a contributing factor in which type of
rhinitis? VASOMOTOR RHINITIS
, NURS 511 LATEST 2023 WITH CORRECT ANSWERS GRADED A
7. Sinusitis is considered chronic when there are episodes of prolonged inflammation with repeated
or inadequately treated acute infection lasting greater than: 12 WEEKS
8. Which of the following antibiotics provides the best coverage in acute or chronic sinusitis when
gram- negative organisms are suspected? LEVOFLOXACIN
9. In which of the following situations would referral to a specialist be needed for sinusitis? ALL OF
THE ABOVE ( RECURRENT SINUSITIS, ALLERGIC SINUSITIS AND SINUSITIS THAT IS
REFRACTORY TO ANTIBIOTIC THERAPY)
10. Which type of stomatitis results in necrotic ulceration of the oral mucous membranes?
VINCENT’S STOMATITIS
11. The presence of hairy leukoplakia in a person with no other symptoms of immune suppression is
strongly suggestive of which type of infection? HIV
12. Heart valve damage resulting from acute rheumatic fever is a long-term sequelae resulting from
infection with which of the following pathogens? GROUP A STREP
13. A patient presents with the following signs and symptoms: gradual onset of low-grade fever, marked
fatigue, severe sore throat, and posterior cervical lymphadenopathy. Based on the signs and
symptoms alone, which condition is most likely the cause? MONONUCLEOSIS
14. A patient presents to the clinician with a sore throat, fever of 100.7, and tender anterior cervical
lymphadenopathy. The clinician suspects strep throat and performs a rapid strep test that is negative.
What would the next step be? A THROAT CULUTRE SHOULD BE PREFORMED TO CONFIRM THE
RESULTS OF THE RAPID STREP TEST
15. Which of the following meds used in the treatment of glaucoma works by constricting the pupils to
open the angle and allow aqueous fluid to escape? PILOCARPINE
16. You have a patient who is positive for strep on rapid antigen testing. You order amoxicillin after
checking for drug allergies (pt has none) but he returns 3 days later, reporting that his temp has gone up,
not down (101.5 in office). You also note significant adenopathy, most notably in the posterior and
anterior cervical chains, some hepatomegaly, and a diffuse rash. You decide: THAT HE POSSIBLY
HAS MONONUCLEOSIS CONCURRENT WITH HIS STREP INFECTION
17. Severe pain associated with acute otitis media signifies perforation of the TM. FALSE
18. Jill presents with symptoms of hay fever, and you assess the nasal mucosa of her turbinate’s to be
pale. What diagnosis do you suspect? ALLERGIC RHINITIS
19. When a practitioner places a vibrating tuning fork in the midline of a client's skull and asks if the
tone sounds the same in both ears or is better in one, the examiner is performing: WEBER TEST
20. Acute otitis media is diagnosed when there is: FLUID IN THE MIDDLE EAR ACCOMPAINED
BY OTALGIA AND FEVER
21. What therapy has proved beneficial for long-term symptom relief of tinnitus?
COGNITIVE BEHAVIORAL THEARPY
22. Jessica, an 8-year-old third-grader, is brought to the office by her grandmother, who is the child's
babysitter. She has complained of fever and sore throat for the past 2 days. Five other children in her class
have been sick with sore throats. She denies difficulty swallowing and has been drinking fluids, but she has
no appetite. A review of system reveals that she has clear nasal drainage, hoarseness, and a nonproductive
cough. She denies vomiting but has had mild diarrhea. On examination, she has a temperature of 101.5°F;
3+ erythematous tonsils; and palpable, tender cervical lymph nodes. Based on these findings, what is the
most likely diagnosis? VIRAL PHARYNGITIS
23. Martin, age 24, presents with an erythematous ear canal, pain, and a recent history of swimming. What
do you suspect? EXTERNAL OTITIS
24. Sam, age 4, is brought into the clinic by his father. His tympanic membrane is perforated from otitis
media. His father asks about repair of the eardrum. How do you respond? THE EARDRUM IN MOST
CASES HEALS WITHIN SEVERAL WEEKS
25. A client complains of frequent bouts of severe, intense, disabling left-sided facial pain accompanied by
excessive left eye lacrimation (tearing) and worsening anxiety. The pain wakes him at night, and he has
even contemplated harming himself during these episodes due to the intensity and unrelenting nature of
the pain. What kind of headache is he describing? CLUSTER HEADACHE
26. Jill states that her 5-year-old daughter continually grinds her teeth at night. You document this
as: BRUXISM
27. Mark, age 18, has a persistent sore throat, fever, and malaise not relieved with penicillin therapy.
What would you order next? MONOSPOT TEST
